Kangaroo care with bubble CPAP
Kangaroo care is skin-to-skin placement of a newborn against a human chest. Both the mother and the father can hold their infants in Kangaroo position while the newborn is on bCPAP.
Kangaroo care is almost a 50-year-old practice. It was initially intended for full term infants in the first few of hours of life to promote bonding of delivering mothers with their newly born infant(s) and to facilitate initiation of breast feeding. Later, it was introduced in the care of stable preterm infants who are admitted to the Neonatal ICU for several weeks or months. Many studies have shown that Kangaroo care has many benefits to preterm and full-term infants. Kangaroo care is associated with reduced mortality, infection and length of hospital stay. It has been shown to correlate with cardiorespiratory and temperature stability, improvement in neuro-developmental outcomes and breastfeeding.
We recommend Kangaroo care to infants who are clinically stable and who are at least 750g. Infants on bCPAP can be cared for in kangaroo position. These infants can stay in Kangaroo care as long as they are stable (no desaturations or bradycardia). Although, at such a young age they may not be ready for feeding by mouth. The bedside nurse will help you position your infant on your chest and will monitor the infant during kangaroo care.
In general, if the preterm infant require bubble CPAP with supplemental oxygen, they have to remain on bCPAP when having Kangaroo care. If no supplemental oxygen required and their weight is at least 1200g, they may be trialed off CPAP while kangarooing. Cardiorespiratory monitoring should continue during kangaroo Care